{"id":19036,"date":"2014-12-20T10:07:08","date_gmt":"2014-12-20T09:07:08","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=19036"},"modified":"2014-12-20T10:07:08","modified_gmt":"2014-12-20T09:07:08","slug":"ikem-transplantoval-pet-organu-soucasne-poprve-tenke-strevo","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=19036","title":{"rendered":"IKEM transplantoval p\u011bt org\u00e1n\u016f sou\u010dasn\u011b, poprv\u00e9 tenk\u00e9 st\u0159evo"},"content":{"rendered":"

Institut klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) v evropsky unik\u00e1tn\u00ed operaci transplantoval p\u0159ed t\u00fddnem \u0161edes\u00e1tilet\u00e9mu pacientovi \u017ealudek, slinivku, slezinu, j\u00e1tra a tenk\u00e9 st\u0159evo. <\/strong><\/p>\n

Transplantace st\u0159eva byla prvn\u00ed v \u010cesku. Dva chirurgick\u00e9 t\u00fdmy pracovaly deset hodin. Stav pacienta je po \u017eivot zachra\u0148uj\u00edc\u00ed operaci stabiln\u00ed, vyhr\u00e1no ale zat\u00edm zdaleka nem\u00e1. Situace se m\u016f\u017ee kdykoli zm\u011bnit, sd\u011blili dnes l\u00e9ka\u0159i na tiskov\u00e9 konferenci.<\/p>\n

L\u00e9ka\u0159i pacientovi diagnostikovali p\u0159ed p\u011bti lety cirh\u00f3zu jater, kterou vyvolalo autoimunitn\u00ed onemocn\u011bn\u00ed. P\u0159ed dv\u011bma lety se za\u010dal jeho stav prudce zhor\u0161ovat, i oby\u010dejn\u00e1 proch\u00e1zka byla pro n\u011bj n\u00e1ro\u010dn\u00e1. N\u011bkolikr\u00e1t t\u00fddn\u011b mu l\u00e9ka\u0159i museli odeb\u00edrat z b\u0159i\u0161n\u00ed dutiny tekutinu, kter\u00e1 se tam tvo\u0159ila. V posledn\u00edm roce se jeho stav zhor\u0161il natolik, \u017ee byl za\u0159azen mezi \u010dekatele na transplantaci jater.<\/p>\n

Z n\u00e1sleduj\u00edc\u00edch vy\u0161et\u0159en\u00ed vyplynulo, \u017ee samotn\u00e1 nov\u00e1 j\u00e1tra jeho stav nevy\u0159e\u0161\u00ed. L\u00e9ka\u0159i se proto rozhodli o za\u0159azen\u00ed k takzvan\u00e9 multiviscer\u00e1ln\u00ed transplantaci. Pacientovi zb\u00fdvalo v tu chv\u00edli jen p\u00e1r m\u011bs\u00edc\u016f \u017eivota.<\/p>\n

Po osmi t\u00fddnech \u010dek\u00e1n\u00ed se objevila mo\u017enost z\u00edskat org\u00e1ny od d\u00e1rce, kter\u00fd spl\u0148oval p\u0159\u00edsn\u00e1 krit\u00e9ria. „Prvn\u00edm z\u00e1sadn\u00edm krokem byl odb\u011br v\u0161ech org\u00e1n\u016f od zem\u0159el\u00e9ho d\u00e1rce. Takov\u00fd odb\u011br nebyl dosud v \u010cR proveden. \u0160t\u011bp se skl\u00e1dal z n\u011bkolika org\u00e1n\u016f navz\u00e1jem propojen\u00fdch. Org\u00e1ny bylo pot\u0159eba odebrat v excelentn\u00ed kvalit\u011b, prom\u00fdt konzerva\u010dn\u00edm roztokem a p\u0159ipravit k vlastn\u00ed transplantaci,“ uvedl z\u00e1stupce p\u0159ednosty kliniky transplanta\u010dn\u00ed chirurgie Libor Janou\u0161ek.<\/p>\n

V prvn\u00ed \u010d\u00e1sti transplantace museli l\u00e9ka\u0159i odstranit pacientovi z dutiny b\u0159i\u0161n\u00ed org\u00e1ny, nechali mu jen ledviny a \u010d\u00e1st tlust\u00e9ho st\u0159eva. V druh\u00e9 \u010d\u00e1sti mu transplantovali \u017ealudek, slinivku s dvan\u00e1ctn\u00edkem, slezinu, j\u00e1tra a tenk\u00e9 st\u0159evo. Do voln\u00e9ho prostoru vlo\u017eili nov\u00e9 org\u00e1ny, na\u0161ili p\u0159ipojen\u00ed.<\/p>\n

„V\u00fdkon musel b\u00fdt proveden co nejrychleji, abychom zabr\u00e1nili po\u0161kozen\u00ed odebran\u00fdch org\u00e1n\u016f ulo\u017een\u00fdch v ledov\u00e9 t\u0159\u00ed\u0161ti, sou\u010dasn\u011b jsme museli postupovat velmi opatrn\u011b, abychom pacienta neohrozili vykrv\u00e1cen\u00edm b\u011bhem operace. Dutinu b\u0159i\u0161n\u00ed jsme n\u00e1sledn\u011b nechali provizorn\u011b uzav\u0159enou a pacienta v um\u011bl\u00e9m sp\u00e1nku,“ popsal p\u0159ednosta kliniky transplanta\u010dn\u00ed chirurgie Ji\u0159\u00ed Fron\u011bk.<\/p>\n

V\u00fdkon zvl\u00e1dli l\u00e9ka\u0159i bez komplikac\u00ed. Dva dny po operaci zkontrolovali stav nov\u00fdch org\u00e1n\u016f, zjistili, \u017ee funguj\u00ed a \u017e\u00e1dn\u00e1 infekce se neobjevila. T\u011blo org\u00e1ny p\u0159ijalo, pacient dost\u00e1v\u00e1 l\u00e9ky na potla\u010den\u00ed imunity a z\u00e1rove\u0148 proti mo\u017en\u00fdm infekc\u00edm. Le\u017e\u00ed na resuscita\u010dn\u00edm odd\u011blen\u00ed. „Pacient je stabiln\u00ed, spolupracuje, nejev\u00ed zn\u00e1mky infekce. Funkce org\u00e1n\u016f je dobr\u00e1,“ shrnula p\u0159ednostka kliniky anesteziologie, resuscitace a intenzivn\u00ed p\u00e9\u010de Eva Kieslichov\u00e1. Na \u010dekac\u00ed listin\u011b jsou dal\u0161\u00ed dva pacienti, na tento po\u010det odhaduj\u00ed l\u00e9ka\u0159i pr\u016fm\u011brn\u00fd po\u010det transplantac\u00ed tenk\u00e9ho st\u0159eva ro\u010dn\u011b.<\/p>\n

\u0158editel IKEM Ale\u0161 Herman doplnil, \u017ee podle dohody zdravotn\u00ed poji\u0161\u0165ovny uhrad\u00ed n\u00e1klady operace do v\u00fd\u0161e p\u011bti milion\u016f korun. To odpov\u00edd\u00e1 sv\u011btov\u00fdm cen\u00e1m za z\u00e1krok bez komplikac\u00ed. Cena m\u016f\u017ee stoupnout p\u0159i komplikac\u00edch a\u017e na dvojn\u00e1sobek, tuto l\u00e9\u010dbu u\u017e uhrad\u00ed IKEM ze sv\u00e9ho rozpo\u010dtu s\u00e1m.<\/p>\n","protected":false},"excerpt":{"rendered":"

Institut klinick\u00e9 a experiment\u00e1ln\u00ed medic\u00edny (IKEM) v evropsky unik\u00e1tn\u00ed operaci transplantoval p\u0159ed t\u00fddnem \u0161edes\u00e1tilet\u00e9mu pacientovi \u017ealudek, slinivku, slezinu, j\u00e1tra a tenk\u00e9 st\u0159evo.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-19036","post","type-post","status-publish","format-standard","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19036","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=19036"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/19036\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=19036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=19036"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=19036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}